RN Case Manager

ID: Shift: Day 5x8-Hour (08:30 - 17:00) Description: Backfill: R LloydCerts Req: CA RN BLS BSN or bachelors in related fieldCerts preferred: MSNExperience Required: 1-3 years outpatientPreferred Experience: 1-3 years acuteFloat/Call NoWeekends Every otherRequired experience: admission criteria care coordination discharge planning disease mgmt plan of care CMS HIPAA OSHA & Joint CommissionAccepts 1st time travelers Yes1 RTO request allowed Modified Time:5/18/2026 12:00:00 AM Account Manager: Kyle Shook Account Manager Email: COVID-19 Vaccine: Required - Medical/Religious Exemptions Only Flu Vaccine: Unknown Submittals:Low Job Requirements & Qualifications Previous Charge Experience : Preferred Years of Experience : 2 Patient Ratio Experience : 24 Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : CA LicenseSkills : Acute Hospital Admission Criteria Admission Criteria Appeals and Denials Appeals and Denials Benefits Eligibility Care coordination CMS: Centers for Medicare and Medicaid Services Concurrent Review Concurrent Review Continued Stay Reviews Continued Stay Reviews Determine Medical Necessity per Evidence-Based Guidelines Discharge Planning Long Term Acute Care/Rehab/Skilled Nursing* Medical Necessity MS Needs Assessment/ Order DME Plan of Care Utilize InterQual Criteria Utilize InterQual Criteria Worker s comp case management Unit Details Staffing & Scheduling Scheduling Type : block Patient Ratios Days : 28 Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : - Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : Adults Daily Census : 28 Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : - Patient Diagnoses : - Special Procedures/Unit Details : - Special Equipment : - #Tier2 Travel Compliance SSN Required at time of submittal DOB required at time of submittal Certs required at time of submittal please see job description/unit description to find list of required certs depending on unit RTO Always needs facility approval 1 year experience required however please refer to job description for any exceptions made depending on the unit Valid CA License (required at time of submission) Radius Rule: 75 miles 2 Supervisor references preferred Candidates will float within hospital when needed (please refer to JD for specifics by specialty) No Specific Charting Experience Required Background Policy to be noted prior to submission so we can seek approval prior to offer Any Permanent Employee must be gone for at least 6 months Labs must be completed labs 48-72 hours from signing Modules: Modules are non-billable average 7.25 hrs. Modules are completed during orientation and factored in NBO Modules are tracked through e-learning during orientation Submittal Details: #Tier2 Travel ComplianceSSN Required at time of submittalDOB required at time of submittalCerts required at time of submittal please see job description/unit description to find list of required certs depending on unitRTO Always needs facility approval1 year experience required however please refer to job description for any exceptions made depending on the unitValid CA License (required at time of submission)Radius Rule: 75 miles2 Supervisor references preferredCandidates will float within hospital when needed (please refer to JD for specifics by specialty)No Specific Charting Experience RequiredBackground Policy to be noted prior to submission so we can seek approval prior to offerAny Permanent Employee must be gone for at least 6 monthsLabs must be completed labs 48-72 hours from signingModules:Modules are non-billable average 7.25 are completed during orientation and factored in NBOModules are tracked through e-learning during orientation Guaranteed Hours: Contract Weeks:91